Achilles Tendon Reconstruction
Achilles Tendon Reconstruction Surgery in Hawaii
Achilles tendon reconstruction surgery is used to treat chronic or complex Achilles tendon injuries, including neglected ruptures, re-ruptures, or cases with significant tendon degeneration. In these situations, direct repair alone may not be sufficient to restore normal function.
Reconstruction is typically considered when there is poor tendon quality, a large gap between tendon ends, or failure of prior treatment.
How Surgery Is Performed
Achilles tendon reconstruction involves restoring tendon continuity using tendon augmentation or tendon transfer techniques. This may include using nearby tendons, graft tissue, or a combination of methods to reinforce or replace damaged portions of the Achilles tendon.
Goals of surgery include:
Restoring functional continuity of the Achilles tendon
Providing durable strength for walking and push-off
Addressing tendon degeneration or tissue loss
Improving long-term function and reliability of the repair
Recovery After Surgery
Recovery following Achilles tendon reconstruction is typically longer and more protective than after primary repair due to the complexity of the procedure.
Typical recovery progression includes:
An initial period of immobilization and non–weight bearing
Gradual progression to protected and then full weight bearing as healing permits
Physical therapy focused on restoring strength, endurance, and gait mechanics
Slow and controlled return to higher-impact activities over several months
Full recovery may take many months, particularly before returning to athletic or physically demanding activities.
Risks and Considerations
Risks include infection, wound complications, stiffness, nerve irritation, weakness, or incomplete restoration of strength. Because reconstruction is often performed for more complex injuries, adherence to rehabilitation protocols and realistic expectations are critical for success.
Office Location
30 Aulike St. Suite 201
Kailua, HI 96734
Contact Information
scheduling@windortho.net
(808) 261-4658
Surgical Facilities
Castle Medical Center
Windward Surgery Center
